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Metformin inhibits the inflammatory response associated with cellular transformation and cancer stem cell growth
Heather A Hirsch1, Dimitrios Iliopoulos, Kevin Struhl
1Department Biological Chemistry and Molecular Pharmacology, Harvard Medical School, Boston, MA 02115, USA.
Abstract:
Metformin, the first-line drug for treating diabetes, inhibits cellular transformation and selectively kills cancer stem cells in breast cancer cell lines. In a Src-inducible model of cellular transformation, metformin inhibits the earliest known step in the process, activation of the inflammatory transcription factor NF-κB. Metformin strongly delays cellular transformation in a manner similar to that occurring upon a weaker inflammatory stimulus. Conversely, inhibition of transformation does not occur if metformin is added after the initial inflammatory stimulus. The antitransformation effect of metformin can be bypassed by overexpression of Lin28B or IL1β, downstream targets of NF-κB. Metformin preferentially inhibits nuclear translocation of NF-κB and phosphorylation of STAT3 in cancer stem cells compared with non-stem cancer cells in the same population. The ability of metformin to block tumor growth and prolong remission in xenografts in combination with doxorubicin is associated with decreased function of the inflammatory feedback loop. Lastly, metformin-based combinatorial therapy is effective in xenografts involving inflammatory prostate and melanoma cell lines, whereas it is ineffective in noninflammatory cell lines from these lineages. Taken together, our observations suggest that metformin inhibits a signal transduction pathway that results in an inflammatory response. As metformin alters energy metabolism in diabetics, we speculate that metformin may block a metabolic stress response that stimulates the inflammatory pathway associated with a wide variety of cancers.
Insights
Metformin, a diabetes drug, inhibits cancer stem cell transformation by blocking the inflammatory pathway NF-κB. This anti-cancer effect is linked to altered cellular metabolism and shows promise in combination therapies.
Area of Science:
- Oncology
- Molecular Biology
- Metabolic Research
Background:
- Metformin is a widely used diabetes medication.
- Cancer stem cells (CSCs) are crucial for tumor growth and metastasis.
- Inflammation plays a significant role in cancer development.
Purpose of the Study:
- To investigate metformin's effect on cellular transformation and CSCs.
- To elucidate the molecular mechanisms underlying metformin's anti-cancer activity.
- To evaluate metformin's potential in combination cancer therapy.
Main Methods:
- Utilized Src-inducible models for cellular transformation studies.
- Assessed the impact of metformin on NF-κB and STAT3 signaling pathways.
- Conducted xenograft studies in mice using various cancer cell lines.
- Investigated the role of downstream NF-κB targets like Lin28B and IL1β.
Main Results:
- Metformin inhibited early cellular transformation by blocking NF-κB activation.
- Metformin preferentially targeted CSCs by inhibiting NF-κB and STAT3.
- Metformin combined with doxorubicin prolonged remission in xenografts.
- Therapeutic efficacy was observed in inflammatory cancer models but not non-inflammatory ones.
Conclusions:
- Metformin inhibits a critical inflammatory pathway involved in cancer.
- Metformin's anti-cancer effects may stem from its influence on cellular metabolism.
- Metformin-based combination therapy holds potential for treating inflammatory cancers.
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